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January 26, 2010Medical Care

The Multiple Propensity Score as Control for Bias in the Comparison of More Than Two Treatment Arms

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Authors

MSMarieke D. SpreeuwenbergABAnna BartakMCMarcel A. Croon

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Overview

Methodological study demonstrates successful covariate balance across multiple treatment arms in mental health data, indicating the feasibility of multiple propensity scores to reduce bias.

Key Points

  • To provide a practical framework and evaluate the feasibility of extending propensity score methods to adjust for baseline confounding bias when comparing more than two nonrandomized treatment arms.
  • Demonstrated the method using clinical data from a mental health study comparing multiple treatment groups.
  • Estimated each participant's probability of assignment to each treatment category using multinomial logistic regression analysis.
  • Controlled for baseline imbalances by including the calculated multiple propensity scores as additional covariates in subsequent treatment outcome regression analyses.
  • Application of the multiple propensity score successfully established balance across all relevant baseline pretreatment covariates.
  • Adjusted treatment effect estimates differed from unadjusted analyses, confirming the resolution of confounding from initial group differences.

Cite This Study

Spreeuwenberg et al. (2010) studied this question.

synapsesocial.com/papers/6a12ea6fc031bb6829a788cehttps://doi.org/10.1097/mlr.0b013e3181c1328f
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Controlling Bias in Observational Studies: A Review2006 · 988 citations
  2. 2Characterizing the effect of matching using linear propensity score methods with normal distributions1992 · 187 citations
  3. 3Matching Estimators of Causal Effects2006 · 397 citations
  4. 4Causal Inference With General Treatment Regimes2004 · 888 citations
  5. 5Estimating Causal Effects from Large Data Sets Using Propensity Scores1997 · 2,921 citations